Time-related aortic inflammatory response, as assessed with 18F-FDG PET/CT, in patients hospitalized with severely or critical COVID-19: the COVAIR study.

AIM: Arterial involvement has been implicated in the coronavirus disease of 2019 (COVID-19). Fluorine 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) imaging is a valuable tool for the assessment of aortic inflammation and is a predictor of outcome. We sought to prospectively assess the presence of aortic inflammation and its time-dependent trend in patients with COVID-19. METHODS: Between November 2020 and May 2021, in this pilot, case-control study, we recruited 20 patients with severe or critical COVID-19 (mean age of 59 ± 12 years), while 10 age and sex-matched individuals served as the control group. Aortic inflammation was assessed by measuring 18F-FDG uptake in PET/CT performed 20-120 days post-admission. Global aortic target to background ratio (GLA-TBR) was calculated as the sum of TBRs of ascending and descending aorta, aortic arch, and abdominal aorta divided by 4. Index aortic segment TBR (IAS-TBR) was designated as the aortic segment with the highest TBR. RESULTS: There was no significant difference in aortic 18F-FDG PET/CT uptake between patients and controls (GLA-TBR: 1.46 [1.40-1.57] vs. 1.43 [1.32-1.70], respectively, P = 0.422 and IAS-TBR: 1.60 [1.50-1.67] vs. 1.50 [1.42-1.61], respectively, P = 0.155). There was a moderate correlation between aortic TBR values (both GLA and IAS) and time distance from admission to 18F-FDG PET-CT scan (Spearman's rho = - 0.528, P = 0.017 and Spearman's rho = - 0.480, p = 0.032, respectively). Patients who were scanned less than or equal to 60 days from admission (n = 11) had significantly higher GLA-TBR values compared to patients that were examined more than 60 days post-admission (GLA-TBR: 1.53 [1.42-1.60] vs. 1.40 [1.33-1.45], respectively, P = 0.016 and IAS-TBR: 1.64 [1.51-1.74] vs. 1.52 [1.46-1.60], respectively, P = 0.038). There was a significant difference in IAS- TBR between patients scanned ≤ 60 days and controls (1.64 [1.51-1.74] vs. 1.50 [1.41-1.61], P = 0.036). CONCLUSION: This is the first study suggesting that aortic inflammation, as assessed by 18F-FDG PET/CT imaging, is increased in the early post COVID phase in patients with severe or critical COVID-19 and largely resolves over time. Our findings may have important implications for the understanding of the course of the disease and for improving our preventive and therapeutic strategies.

A Novel Infrared Thermography Sensing Approach for Rapid, Quantitative Assessment of Damage in Aircraft Composites.

The current necessity of the scientific and industrial community, for reduction of aircraft maintenance cost and duration, prioritizes the need for development of innovative nondestructive techniques enabling fast and reliable defect detection on aircraft fuselage and wing skin parts. Herein, a new low-cost thermographic strategy, termed Pulsed Phase-Informed Lock-in Thermography, operating on the synergy of two independent, active infrared thermography techniques, is reported for the fast and quantitative assessment of superficial and subsurface damage in aircraft-grade composite materials. The two-step approach relies on the fast, initial qualitative assessment, by Pulsed Phase Thermography, of defect location and the identification of the optimal material-intrinsic frequency, over which lock-in thermography is subsequently applied for the quantification of the damage's dilatational characteristics. A state-of-the-art ultra-compact infrared thermography module envisioned to form part of a fully-automated autonomous nondestructive testing inspection solution for aircraft was conceived, developed, and tested on aircraft-grade composite specimens with impact damages induced at variable energy levels and on a full-scale aircraft fuselage skin composite panel. The latter task was performed in semi-automated mode with the infrared thermography module mounted on the prototype autonomous vortex robot platform. The timescale requirement for a full assessment of damage(s) within the sensor's field of view is of the order of 60 s which, in combination with the high precision of the methodology, unfolds unprecedented potential towards the reduction in duration and costs of tactical aircraft maintenance, optimization of efficiency and minimization of accidents.

Scanning Micro X-ray Fluorescence and Multispectral Imaging Fusion: A Case Study on Postage Stamps.

Scanning micrο X-ray fluorescence (µ-XRF) and multispectral imaging (MSI) were applied to study philately stamps, selected for their small size and intricate structures. The µ-XRF measurements were accomplished using the M6 Jetstream Bruker scanner under optimized conditions for spatial resolution, while the MSI measurements were performed employing the XpeCAM-X02 camera. The datasets were acquired asynchronously. Elemental distribution maps can be extracted from the µ-XRF dataset, while chemical distribution maps can be obtained from the analysis of the multispectral dataset. The objective of the present work is the fusion of the datasets from the two spectral imaging modalities. An algorithmic co-registration of the two datasets is applied as a first step, aiming to align the multispectral and µ-XRF images and to adapt to the pixel sizes, as small as a few tens of micrometers. The dataset fusion is accomplished by applying k-means clustering of the multispectral dataset, attributing a representative spectrum to each pixel, and defining the multispectral clusters. Subsequently, the µ-XRF dataset within a specific multispectral cluster is analyzed by evaluating the mean XRF spectrum and performing k-means sub-clustering of the µ-XRF dataset, allowing the differentiation of areas with variable elemental composition within the multispectral cluster. The data fusion approach proves its validity and strength in the context of philately stamps. We demonstrate that the fusion of two spectral imaging modalities enhances their analytical capabilities significantly. The spectral analysis of pixels within clusters can provide more information than analyzing the same pixels as part of the entire dataset.

Development and Physicochemical Characterization of Edible Chitosan-Casein Hydrogel Membranes for Potential Use in Food Packaging.

The increasing global concern over plastic waste and its environmental impact has led to a growing interest in the development of sustainable packaging alternatives. This study focuses on the innovative use of expired dairy products as a potential resource for producing edible packaging materials. Expired milk and yogurt were selected as the primary raw materials due to their protein and carbohydrate content. The extracted casein was combined with various concentrations of chitosan, glycerol, and squid ink, leading to the studied samples. Chitosan was chosen due to its appealing characteristics, including biodegradability, and film-forming properties, and casein was utilized for its superior barrier and film-forming properties, as well as its biodegradability and non-toxic nature. Glycerol was used to further improve the flexibility of the materials. The prepared hydrogels were characterized using various instrumental methods, and the findings reveal that the expired dairy-based edible packaging materials exhibited promising mechanical properties comparable to conventional plastic packaging and improved barrier properties with zero-oxygen permeability of the hydrogel membranes, indicating that these materials have the potential to effectively protect food products from external factors that could compromise quality and shelf life.

The shape and the thickness of the anterior cruciate ligament along its length in relation to the posterior cruciate ligament: a cadaveric study.

PURPOSE: The purpose of this study was to evaluate the shape of the native anterior cruciate ligament (ACL) along its length in relation to the posterior cruciate ligament (PCL) and compare it with the size of the 3 commonly used autografts (bone-patellar tendon-bone [BPTB], single-bundle hamstring, and double-bundle hamstring). METHODS: With the knee in extension, we filled the intercondylar notch with paraffin, fixing the cruciate ligaments in their natural position, in 8 cadaveric specimens. The ACL-PCL tissue specimen, embedded in paraffin, was removed en bloc. Gross sections were prepared in the coronal plane and were evaluated histologically. The width, thickness, and cross-sectional area of both the ACL and PCL were determined. The dimensions of the semitendinosus tendon (ST), gracilis tendon (GT), and BPTB grafts were measured and compared with those of the native ACL. RESULTS: The PCL occupies the largest part of the intercondylar area, leaving only a small space for the ACL in knee extension. The ACL midsubstance has a width of 5 mm, resembling a band shape. Only before its tibial insertion does the ACL fan out and take the form of its tibial attachment. The BPTB graft has a thickness of 5.8 mm, whereas the ST and GT grafts have a thickness of 6.25 mm and 4.5 mm, respectively, and are comparable to the midsubstance of the ACL but undersized in the tibial insertion (P = .0016 for BPTB graft, P = .002 for ST graft, and P = .0003 for GT graft). A quadruple-looped ST-GT graft, with a diameter of 8 mm, is oversized in the midsubstance (P = .0002) but fits better in the tibial attachment. CONCLUSIONS: The ACL midsubstance has a width of 5 mm, resembling a band shape. Before its tibial insertion, the ACL fans out like a trumpet, taking the form of its wide tibial attachment. CLINICAL RELEVANCE: The dimensions of the native ACL have to be considered in graft selection for anatomic ACL reconstruction.

Progression of coronary artery calcification after kidney transplantation.

Calcification of coronary vessels progresses rapidly in hemodialysis (HD) patients and comprises a strong predictor of cardiovascular events. The aim of this prospective study was to evaluate the coronary artery calcification (CAC) in patients with end stage renal disease undergoing regular HD and to determine the effect of renal transplantation (RT) in the progression of CAC, using the Agatston technique for calcium scoring. The study included 20 patients with end-stage renal disease undergoing a regular HD treatment (16 males, 4 females) 54.1 ± 9.5 years old who had just received a renal transplant and 16 more HD patients (11 males, 5 females) 54.4 ± 13.8 years old as control group. The baseline evaluation showed a very high prevalence of CAC in both groups, which was positively correlated with age (p < 0.001) and CRP (p = 0.03). The second (follow-up) evaluation showed a significant slower progression of calcification after RT. In both groups, high calcium score values in the follow-up evaluation had a strong positive correlation with baseline calcium score (p < 0.001).

Development and Characterization of High Performance Shape Memory Alloy Coatings for Structural Aerospace Applications.

This paper presents an innovative approach, which enables control of the mechanical properties of metallic components by external stimuli to improve the mechanical behavior of aluminum structures in aeronautical applications. The approach is based on the exploitation of the shape memory effect of novel Shape Memory Alloy (SMA) coatings deposited on metallic structural components, for the purpose of relaxing the stress of underlying structures by simple heating at field-feasible temperatures, therefore enhancing their structural integrity and increasing their stiffness and rigidity while allowing them to withstand expected loading conditions safely. Numerical analysis provided an insight in the expected response of the SMA coating and of the SMA-coated element, while the dependence of alloy composition and heat treatment on the experienced shape memory effect were investigated experimentally. A two-phase process is proposed for deposition of the SMA coating in an order that induces beneficial stress relaxation to the underlying structure through the shape memory effect.

A huge posteromedial mediastinal cyst complicated with vertebral dislodgment.

BACKGROUND: Mediastinal cysts compromise almost 20% of all mediastinal masses with bronchogenic subtype accounting for 60% of all cystic lesions. Although compression of adjoining soft tissues is usual, spinal complications and neurological symptoms are outmost rare and tend to characterize almost exclusively the neuroenteric cysts. CASE PRESENTATION: A young patient with intermittent, dull pain in his back and free medical history presented in the orthopaedic department of our hospital. There, the initial clinical and radiologic evaluation revealed a mediastinal mass and the patient was referred to the thoracic surgery department for further exploration. The following computed tomography (CT) and magnetic resonance imaging (MRI) shown a huge mediastinal cyst compressing the T4-T6 vertebral bodies. The neurological symptoms of the patient were attributed to this specific pathology due to the complete agreement between the location of the cyst and the nervous rule area of the compressed thoracic vertebrae. Despite our strongly suggestions for surgery the patient denied any treatment. CONCLUSION: In controversy with the common faith that the spine plays the role of the natural barrier to the further expansion of cystic lesions, our case clearly indicates that, exceptionally, mediastinal cysts may cause severe vertebral complications. Therefore, early excision should be considered especially in young patients or where close follow up is uncertain.